Evidence map›Paper›PMID 36979048›Full record

ReviewBiology2023

Immunosuppressive Therapy of Biopsy-Proven, Virus-Negative, Autoimmune/Immune-Mediated Myocarditis-Focus on Azathioprine: A Review of Existing Evidence and Future Perspectives.

Justyna Grzechocińska, Agata Tymińska, Andrea Silvio Giordani, Julia Wysińska, Ewa Ostrowska, Anna Baritussio, Alida Linda Patrizia Caforio, Marcin Grabowski, Renzo Marcolongo, Krzysztof Ozierański

Open access · goldFull text readReview
In one paragraph

Review in Biology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.2field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Cardiotoxicity induced by traditional chemotherapy: mechanisms and mitigation strategies.Apoptosis : an international journal on programmed cell death · 2026
    Review
  3. Review
  4. Article
  5. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 2 countries.

Justyna GrzechocińskaFirst Department of Cardiology, Medical University of Warsaw, 1a Banacha St., 02-097 Warsaw, Poland.
Agata TymińskaFirst Department of Cardiology, Medical University of Warsaw, 1a Banacha St., 02-097 Warsaw, Poland.
Andrea Silvio GiordaniCardiology, Department of Cardiac Thoracic Vascular Sciences and Public Health, University of Padova, 35-100 Padova, Italy.ORCID 0000-0002-1525-077X
Julia WysińskaFirst Department of Cardiology, Medical University of Warsaw, 1a Banacha St., 02-097 Warsaw, Poland.
Ewa OstrowskaFirst Department of Cardiology, Medical University of Warsaw, 1a Banacha St., 02-097 Warsaw, Poland.
Anna BaritussioCardiology, Department of Cardiac Thoracic Vascular Sciences and Public Health, University of Padova, 35-100 Padova, Italy.
Alida Linda Patrizia CaforioCardiology, Department of Cardiac Thoracic Vascular Sciences and Public Health, University of Padova, 35-100 Padova, Italy.ORCID 0000-0002-4901-5655
Marcin GrabowskiFirst Department of Cardiology, Medical University of Warsaw, 1a Banacha St., 02-097 Warsaw, Poland.
Renzo MarcolongoCardiology, Department of Cardiac Thoracic Vascular Sciences and Public Health, University of Padova, 35-100 Padova, Italy.ORCID 0000-0002-5306-1785
Krzysztof OzierańskiFirst Department of Cardiology, Medical University of Warsaw, 1a Banacha St., 02-097 Warsaw, Poland.
Medical University of Warsaw · PLUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The use of immunosuppressive therapy (IT) in biopsy-proven, autoimmune/immune-mediated (AI), virus-negative myocarditis has become the standard of care. In particular, according to recent guidelines, azathioprine (AZA), in association with steroids, is a cornerstone of first-line therapy regimens. IT may have a crucial impact on the natural history of AI myocarditis, preventing its progression to end-stage heart failure, cardiovascular death, or heart transplantation, provided that strict appropriateness and safety criteria are observed. In particular, AZA treatment for AI virus-negative myocarditis requires the consideration of some crucial aspects regarding its pharmacokinetics and pharmacodynamics, as well as a high index of suspicion to detect its overt and/or subclinical side effects. Importantly, besides a tight teamwork with a clinical immunologist/immuno-rheumatologist, before starting IT, it is also necessary to carry out a careful "safety check-list" in order to rule out possible contraindications to IT and minimize patient's risk. The aim of this review is to describe the pharmacological properties of AZA, as well as to discuss practical aspects of its clinical use, in the light of existing evidence, with particular regard to the new field of cardioimmunology.

Indexed as

endomyocardial biopsyimmunosuppressive therapyinflammatory cardiomyopathymyocarditissystemic immune-mediated diseases

Identifiers

PMID36979048
PMCPMC10044979
OpenAlexW4321787353

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read26
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.